Abstract
Abnormal single coronary artery from pulmonary artery (ASCAPA) is a very rare anomaly; it is rarer than anomalous left coronary artery from pulmonary artery (ALCAPA). The incidence of ASCAPA is unknown because of little number of reported cases; it may be isolated or associated with other congenital heart diseases and is usually associated with significant myocardial ischemia and dysfunction timed with the physiological decrease of pulmonary vascular resistance (PVR) after birth. We are reporting a case of ASCAPA associated with perimembranous ventricular septal (VSD) defect and valvular pulmonary stenosis in an infant that presented with heart failure.
•Abnormal single coronary artery from pulmonary artery (ASCAPA) is a very rare cardiac anomaly.•We are describing a case presented with cardiomyopathy and heart failure secondary to this anomaly.